2023-08-15T12:41:24-05:00 2022-09-30 390859910 BAKER TILLY US LLP 101 WASHINGTON STREET EAST CHARLESTON WV 25301 990 2021-10-01 550440086 PLEASANT VALLEY HOSPITAL PLEA 3046754340 2520 VALLEY DRIVE PT PLEASANT WV 25550 RUSSELL HENCHEY VICE PRESIDENT OF FINANCE 3046754340 2023-08-15 1 RUSSELL HENCHEY 999009999 DOLORES ROSE P01286262 3043460441 2023-08-14 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KEITH BIDDLE 2520 VALLEY DRIVE PT PLEASANT WV 25550 60523841 0 X WWW.PVALLEY.ORG X 1955 WV PROVIDE QUALITY INPATIENT AND OUTPATIENT HEALTHCARE TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. PROVIDE A WELLNESS CENTER TO PROMOTE COMMUNITY HEALTH THROUGH FITNESS PROGRAMS. 14 12 518 25 -13687 143841 352164 525409 44230000 56056586 876106 -4033621 6081293 3545225 51539563 56093599 39407 140764 0 0 23431162 24676730 0 0 0 35086312 48124401 58556881 72941895 -7017318 -16848296 44900419 28634105 25755758 26337740 19144661 2296365 TO OPERATE AN ACUTE CARE HOSPITAL FACILITY FOR THE CITIZENS OF POINT PLEASANT, WEST VIRGINIA AND THE SURROUNDING COMMUNITIES AND COUNTIES. 0 0 59515128 140764 59235778 THE HOSPITAL PROVIDED 5,946 ACUTE AND SWING DAYS; 80,263 OUTPATIENT VISITS; 9,784 EMERGENCY ROOM VISITS; 1,313 AMBULATORY SURGERIES; 762 OBSERVATION VISITS; AND 43,679 PHYSICIAN OFFICE VISITS. 168961 10433 THE HOSPITAL OPERATES A WELLNESS CENTER WHICH PROVIDES COMMUNITY HEALTH EDUCATION AND FITNESS PROGRAMS THAT ARE AVAILABLE TO HOSPITAL EMPLOYEES AND ALL RESIDENTS OF THE SURROUNDING COMMUNITIES. 59684089 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 140 0 518 0 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X RUSSELL HENCHEY 3046754340 2520 VALLEY DRIVE POINT PLEASANT WV 25550 PETE ALLINDER CHAIRMAN 0.50 0.25 X X 0 0 0 AMANDA CLARK VICE CHAIRMAN 0.50 X X 0 0 0 LANNES WILLIAMSON SECRETARY 0.50 0.25 X X 0 0 0 JAMES ROSSI CPA TREASURER 0.50 0.25 X X 0 0 0 SCOTT BARNITZ TRUSTEE 0.50 X 0 0 0 ANNETTE BOYLES TRUSTEE 0.50 X 0 0 0 CLAYTON FABER TRUSTEE 0.50 X 0 0 0 RANDALL HAWKINS MD FACP TRUSTEE/PHYSICIAN 0.50 40.00 X 0 360332 11616 ROCKY STURGEON TRUSTEE 0.50 X 0 0 0 WILLIAM KNIGHT TRUSTEE 0.50 X 0 0 0 EDDIE LANHAM TRUSTEE 0.50 X 0 0 0 MARIO LIBERATORE TRUSTEE 0.50 X 0 0 0 JOHN SAUER TRUSTEE 0.50 X 0 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 0.50 40.00 X 73925 313188 11616 JEFF NOBLIN FACHE CEO 40.00 0.50 X 0 0 0 CRAIG GILLILAND CFO 40.00 0.50 X 209366 0 36568 CONNIE M DAVIS COO 40.00 X 163944 0 33843 STEVEN SHARP MD ER PHYSICIAN 40.00 X 477617 0 2221 ANTHONY W KITCHEN MD ER PHYSICIAN 40.00 X 558732 0 11616 BILLI TOLER DO HOSPITALIST 40.00 X 469060 0 11616 PATRICK DUNSTER MD ER PHYSICIAN 40.00 X 469935 0 2116 DANIEL TRENT DO ER PHYSICIAN 40.00 X 403792 0 11616 2826371 673520 132828 17 0 1 1 MAXIM HEALTHCARE STAFFING SERVICES 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 TRAVEL NURSES 2032215 HEALTH CAROUSEL PO BOX 714216 CINCINNATI OH 45271 TRAVEL NURSES 611652 EGC MANAGEMENT CONSULTANTS PO BOX 74008176 CHICAGO IL 60674 MANAGEMENT CONSULTANTS 397879 CREDIT SOLUTIONS LLC 2277 THUNDERSTICK DRIVE SUITE 400 LEXINGTON KY 40505 PHYSICIAN OFFICE CODING AND PROVIDING BI 315997 JNP LOCAL LLC PO BOX 744234 ATLANTA GA 30374 TRAVEL NURSES 278274 13 250000 275409 525409 PATIENT SERVICES 622110 53730518 53730518 PHARMACY 446110 2484596 2484596 WELLNESS CENTER 713940 -158528 -158528 56056586 385545 385545 380363 11076 369287 369287 369287 4419166 -4419166 -4419166 -4419166 OTHER INCOME 900099 2923551 2923551 DASCO PARTNERSHIP INCOME 446199 144841 144841 CAFETERIA & VENDING 722212 107546 107546 3175938 56093599 59246211 -13687 -3664334 X 140764 140764 444290 352455 91835 18810756 14922573 3888183 524456 416051 108405 3504140 2779834 724306 1393088 1105137 287951 505296 505296 677189 677189 72394 72394 16469614 13065345 3404269 608214 482496 125718 9962309 7858417 2103892 43364 34401 8963 958791 760609 198182 79248 62867 16381 190160 150854 39306 1656101 1313785 342316 786704 624092 162612 BAD DEBTS 5051638 5051638 MEDICAL SUPPLIES 4252295 4252295 DRUG EXPENSES 3286007 3286007 MEDICAID PROVIDER TAX 950309 950309 2574768 2074160 500608 72941895 59684089 13257806 0 2483991 1497302 1145214 2936962 3962935 2734492 1115036 1508730 419704 265183 34085604 23161249 9714907 10924355 22443974 8602603 3614658 164478 44900419 28634105 9232135 14811376 3348973 99672 13174650 11426692 25755758 26337740 X 19144661 2296365 19144661 2296365 44900419 28634105 -16848296 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1199905 1199905 136555 19757455 16805602 3088408 20011 6003 14008 12111234 5762158 6349076 860444 587486 272958 10924355 CAPITAL LEASE AGREEMENTS 1367319 ESTIMATE THIRD PARTY PAYOR SETTLEMENTS 742758 DUE TO RELATED PARTIES 2792225 PPP LOAN 6524390 11426692 X PART X, LINE 2: THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. IN ADDITION, THE HEALTH FOUNDATION AND THE FOUNDATION HAVE BEEN CLASSIFIED AS ORGANIZATIONS OTHER THAN A PRIVATE FOUNDATION MEANING OF SECTION 509(A) OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOSPITAL, HEALTH FOUNDATION, AND FOUNDATION HAVE CONCLUDED THAT AS OF SEPTEMBER 30, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE COMBINED FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED SEPTEMBER 30, 2019, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 1 1 X 1 X 1 X 100.000000000000 1 1 0 1 1 11270734 2499334 8771400 0.12920 11270734 2499334 8771400 0.12920 11270734 2499334 8771400 0.12920 1 5051638 6703540 6901929 -198389 X 1 1 1 1 PLEASANT VALLEY HOSPITAL 2520 VALLEY DRIVE PT PLEASANT WV 25550 X X X SKILLED NURSING FACILITY PLEASANT VALLEY HOSPITAL 1 0 0 1 X X X X X X X X 21 1 0 0 1 X HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2022.PD X 1 21 1 HTTPS://PVH.MOUNTAINHEALTHNETWORK.ORG/ASSETS/PVH/DOCUMENTS/PVH-CHNA-2022.PD 0 1 X 100.000000000000 100.000000000000 1 1 X X X 1 X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X HTTPS://RIVERSHEALTH.ORG/PATIENTS/FINANCIAL-COUNSELING/ X X X X X 1 X 0 X X X 1 X 0 0 PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 5: THE 2022 CHNA INCLUDED QUANTITATIVE RESEARCH METHODS AND COMMUNITY CONVERSATIONS TO DETERMINE HEALTH TRENDS AND DISPARITIES AFFECTING GALLIA, MASON, AND MEIGS COUNTY RESIDENTS. THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANT MAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS.COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022 CHNA. IN ASSESSING COMMUNITY HEALTH NEEDS, INPUT WAS SOLICITED AND RECEIVED FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED WIDE PERSPECTIVES ON HEALTH TRENDS, EXPERTISE ABOUT EXISTING COMMUNITY RESOURCES AVAILABLE TO MEET THOSE NEEDS, AND INSIGHTS INTO SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 11: THE TOP THREE SIGNIFICANT NEEDS TO ADDRESS ARE BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER (SUD) AND CHRONIC DISEASE PREVENTION AND MANAGEMENT. BEHAVIORAL HEALTH: SUPPORT, PROMOTE AND PARTICIPATE IN COMMUNITY BEHAVIORAL HEALTH AWARENESS AND TRAINING EFFORTS; PARTNER WITH AREA SCHOOLS AND CONTINUE LEADING THE MASON COUNTY COMPREHENSIVE HEALTHY KIDS PROGRAM; PARTNER WITH SENIOR CENTERS; PROVIDE COMMUNITY WIDE TRAINING FOR BEHAVIORAL HEALTH; PROVIDE INPATIENT BEHAVIORAL HEALTH CONSULTATIONS AND OUTPATIENT SERVICES.SUBSTANCE USE DISORDER: CONDUCT UNIVERSAL SCREENINGS IN HEALTHCARE SETTINGS TO IDENTIFY INDIVIDUALS WITH SUD CONDITIONS; SUPPORT, PROMOTE AND PARTICIPATE IN COMMUNITY SUD AWARENESS AND TRAINING EFFORTS; PROVIDE MEDICAL WITHDRAWAL MANAGEMENT SERVICE; DEVELOP COMPREHENSIVE ASSESSMENT, EDUCATION, INTERVENTION AND ADDICTION TREATMENT SOLUTIONS; EXPAND MEDICATION-ASSISTED TREATMENT SERVICES.CHRONIC DISEASE PREVENTION AND MANAGEMENT: YOUTH INTERNSHIP AND MENTORING OPPORTUNITIES TO FOSTER INTEREST IN HEALTHCARE PROFESSIONS; PARTNER WITH AREA SCHOOLS AND BUSINESSES TO ESTABLISH CAREER DEVELOPMENT PROGRAMS IN HEALTHCARE; INCREASE ACCESS TO TRADITIONAL AND ALTERNATIVE PLACES PEOPLE CAN ACCESS HEALTHCARE AND NUMBER OF RESIDENTS WITH A MEDICAL HOME; ADVOCATE FOR MORE PUBLIC TRANSPORTATION FOR HEALTHCARE FACILITIES; PARTNER WITH MOUNTAIN HEALTH NETWORK TO CONTINUE TO EXPAND SPECIALTY CARE SERVICES; PROVIDE HEALTH INSURANCE ENROLLMENT SERVICES FOR UNINSURED RESIDENTS; PROVIDE DIABETES AND WEIGHT LOSS EDUCATION; CONTINUE WELLNESS CENTER; SPONSOR COMMUNITY HEALTH EVENTS. PLEASANT VALLEY HOSPITAL PART V, SECTION B, LINE 16J: THE POLICY IS DISCUSSED WITH PATIENTS BEFORE THEY ARE DISCHARGED. COPY OF THE POLICY IS PROVIDED TO PATIENTS PRIOR TO DISCHARGE. 1 1 - PLEASANT VALLEY HOSPITAL NURSING & REHAB 640 SAND HILL ROAD POINT PLEASANT WV 25550 SKILLED NURSING FACILITY PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 5,051,638. PART II, COMMUNITY BUILDING ACTIVITIES: OUR WEIGHT LOSS CHALLENGE GIVES THE COMMUNITY THE ABILITY TO USE OUR WELLNESS SERVICES. OUR WELLNESS SERVICES INCLUDES CARDIO AND WEIGHT LIFTING MACHINES AND CERTIFIED EXERCISE PHYSIOLOGISTS. BLOOD PRESSURE, WEIGHT, BODY FAT WERE MONITORED BEFORE THE CHALLENGE AND AFTER THE CHALLENGE. THIS PROMOTES A HEALTHLY LIFESTYLE IN THE COMMUNITY. MASON COUNTY IS A MEDICALLY UNDERSERVED AREA AND THE HOSPITAL SPENDS MONEY FOR RECRUITMENT FOR THIS AREA. THE AMOUNT SHOWN FOR WORKFORCE DEVELOPMENT IS THE AMOUNT PAID TO RECRUIT NEW PHYSICIANS TO THE AREA. PART III, LINE 2: BAD DEBT EXPENSE AS REPORTED ON AUDITED FINANCIAL STATEMENTS. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE ORIGINAL CHARGE LESS AN ESTIMATE MADE FOR DOUBTFUL OR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE IS BASED UPON A REVIEW OF THE OUTSTANDING BALANCES AGED BY FINANCIAL CLASS. MANAGEMENT USES COLLECTION PERCENTAGES BASED UPON HISTORICAL COLLECTION EXPERIENCE TO DETERMINE COLLECTIBILITY. MANAGEMENT ALSO REVIEWS, TROUBLED, AGED ACCOUNTS TO DETERMINE COLLECTION POTENTIAL. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF ACCOUNTS PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE WHEN RECEIVED. INTEREST IS NOT CHARGED ON PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8: MEDICARE ALLOWABLE COSTS AND REIMBURSEMENTS WERE OBTAINED FROM THE MEDICARE COST REPORT. PART III, LINE 9B: PLEASANT VALLEY HOSPITAL HAS A CHARITY CARE POLICY AND A COLLECTION AND BAD DEBT POLICY THAT DISCUSSES QUALIFYING AND ELIGIBILITY FOR CHARITY CARE, COLLECTION PRACTICES AND HANDLING OF BAD DEBT ACCOUNTS. IT IS A PRACTICE TO HANDLE ALL PATIENT ACCOUNTS IN THE SAME MANNER/PRECEDENT. PATIENTS ARE SENT MONTHLY STATEMENTS - EVEN WHILE APPLYING AND PENDING FINANCIAL ASSISTANCE AND WILL CONTINUE TO RECEIVE STATEMENTS UNTIL DETERMINATION IS MADE. ONCE DETERMINATION IS MADE THE ACCOUNT BALANCE OR THE % PORTION OF THE ACCOUNT BALANCE IS ADJUSTED TO "FINANCIAL ASSISTANCE". PART VI, LINE 2: WE PROVIDED SURVEYS AND CONDUCTED INTERVIEWS WITH EMPLOYEES, BUSINESSES, AND RESIDENTS OF THE COMMUNITIES WE SERVE. WE ASKED IN THE SURVEY IF THEY CAN INDICATE HEALTH CONDITIONS IN THEIR HOUSEHOLD. DURING INTERVIEWS, WE ASKED WHAT THE HEALTHCARE NEEDS ARE, WHAT BARRIERS THERE ARE, AND WHAT OPPORTUNITIES FOR IMPROVEMENT DO THEY SEE. PART VI, LINE 3: THE PROCESS IN PLACE OFFERS THE UNINSURED AND UNDERINSURED PATIENT THE ABILITY TO APPLY FOR CHARITY CARE THROUGH A FORMAL APPLICATION PROCESS ESTABLISHED BY REVIEWING BOTH INCOME AND EXPENSE TO MAKE A FINAL DETERMINATION OF ELIGIBILITY. IT REQUIRES PROPER VERIFICATION OF INCOME THROUGH A PAY STUB, TAX RETURN, ETC. IT IS ALSO VERIFIED THAT THE PATIENT IS NOT ELIGIBLE FOR A STATE ASSISTED PROGRAM VIA A DENIAL LETTER FROM THE PROGRAM OR VERIFICATION THROUGH THE STATE CASEWORKER. THE PATIENT WILL EITHER BE CONTACTED BY THE BUSINESS OFFICE OR WILL CONTACT THE BUSINESS OFFICE DURING THE COLLECTION AND STATEMENT PROCESS TO DISCUSS FINANCIAL ARRANGEMENTS REGARDING THEIR PATIENT ACCOUNT. ALL OPTIONS OF PAYMENTS WILL BE DISCUSSED AND CHARITY CARE OFFERED AS AN ALTERNATIVE OPTION AFTER SCREENING THE PATIENT'S FINANCIAL ABILITY TO MAKE PAYMENT. PART VI, LINE 4: PLEASANT VALLEY HOSPITAL IS A RURAL HOSPITAL IN POINT PLEASANT, WV. PLEASANT VALLEY HOSPITAL SERVES MAINLY THE PEOPLE OF MASON AND JACKSON COUNTY, WV AND MEIGS AND GALLIA COUNTY, OH. THE PVH SERVICE AREA COMPRISES PRIMARILY RURAL COMMUNITIES IN MASON COUNTY, WEST VIRGINIA AND GALLIA AND MEIGS COUNTIES IN OHIO. WITH FEW EXCEPTIONS, THE COUNTIES GENERALLY FOLLOW DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH TRENDS FOR THE STATE OF WEST VIRGINIA OVERALL. AS OF THE 2020 CENSUS, ALL THREE COUNTIES HAD A SIMILAR TOTAL POPULATION OF APPROXIMATELY 22,000 TO 29,000, AND CONSISTENT WITH WEST VIRGINIA, SAW POPULATION DECLINE FROM THE 2010 CENSUS THAT AVERAGED - 5.5% TO -7%. APPROXIMATELY 16% OF MASON COUNTY RESIDENTS AND 20% OF GALLIA AND MEIGS COUNTY RESIDENTS LIVE IN POVERTY COMPARED TO 13% NATIONALLY. MASON COUNTY SAW DECLINES IN OVERALL POVERTY IN RECENT YEARS, WHILE GALLIA AND MEIGS COUNTIES HAVE HISTORICALLY HIGHER POVERTY LEVELS. HEALTH NEEDS CHANGE AS INDIVIDUALS AGE. THEREFORE, THE AGE DISTRIBUTION OF A COMMUNITY IMPACTS ITS SOCIAL AND HEALTHCARE NEEDS. THE AGE DISTRIBUTION AND MEDIAN AGE OF THE TRI-COUNTY AREA IS SIMILAR TO WEST VIRGINIA OVERALL AND OLDER THAN THE NATION. APPROXIMATELY 20% OF RESIDENTS ARE AGED 65 OR OLDER COMPARED TO 16% NATIONWIDE. THE PROPORTION OF OLDER ADULT RESIDENTS INCREASED ACROSS THE TRI-COUNTY AREA, OHIO, WEST VIRGINIA, AND THE NATION. NATIONALLY, AMONG OLDER ADULTS AGED 65 OR OLDER, THE 65-74 AGE CATEGORY IS THE FASTEST GROWING DEMOGRAPHIC, LARGELY DUE TO THE AGING OF THE BABY BOOMER GENERATION. WHILE THE OLDER ADULT POPULATION INCREASED IN THE TRI-COUNTY AREA, YOUTH UNDER AGE 18 COMPRISE APPROXIMATELY 1 IN 5 RESIDENTS. THIS FINDING REINFORCES THE POTENTIAL IMPACT OF UPSTREAM, PREVENTATIVE INITIATIVES. RESIDENTS OF THE TRI-COUNTY AREA HAVE MORE HEALTH RISK FACTORS AND HIGHER PREVALENCE AND MORTALITY DUE TO CHRONIC DISEASE. IN 2019, APPROXIMATELY ONE-THIRD OF COUNTY ADULTS REPORTED BEING PHYSICALLY INACTIVE COMPARED TO ONE-QUARTER OF ADULTS NATIONALLY. SIMILARLY, ONE-QUARTER OF COUNTY ADULTS REPORTED SMOKING COMPARED TO LESS THAN ONE-FIFTH OF ADULTS NATIONALLY. NATIONALLY, THE MOST COMMON CHRONIC CONDITIONS AMONG OLDER ADULT MEDICARE BENEFICIARIES, IN ORDER OF PREVALENCE, ARE HYPERTENSION, HIGH CHOLESTEROL, AND ARTHRITIS. THIS FINDING IS CONSISTENT FOR THE TRI-COUNTY AREA. PART VI, LINE 5: THE MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA, WHO ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE HOSPITAL PROVIDES A 24 HOUR EMERGENCY ROOM AND IS AVAILABLE TO ALL REGARDLESS OF THE ABILITY TO PAY. ALL THE SERVICES PROVIDED BY THE HOSPITAL ARE PROVIDED REGARDLESS OF THE ABILITY TO PAY. THE HOSPITAL HAS AN AUXILIARY THAT HELPS OUR PATIENTS AND VISITORS IF THEY NEED A WHEELCHAIR WHEN THEY ARRIVE OR IF THEY NEED DIRCTIONS ON WHERE TO GO WITHIN THE HOSPITAL. THE HOSPITAL PROVIDES BREAST CANCER SCREENINGS/MAMMOGRAMS FREE TO PATIENTS WHO CANNOT PAY FOR THE SERVICE. THE HOSPITAL HAS A FITNESS CENTER FOR THE COMMUNITY AND IT ALSO CONDUCTS MANY HEALTH FAIRS THROUGHOUT THE YEAR. THE HOSPITAL PROVIDES MANY HEALTH SCREENINGS THROUGHOUT THE YEAR IN ADDITION TO A NUTRITIONAL PROGRAM. OUR SNF PROVIDES TRANSPORTATION FOR ITS RESIDENTS TO HEALTH FACILITIES. THE HOSPITAL HAS SUPPORT GROUPS FOR MEMBERS OF THE COMMUNITY. THE HOSPITAL DONATES MONEY TO THE COMMUNITY FOR VARIOUS PROJECTS. X 1 1 0 0 0 0 0 0 0 0 0 ANTHONY W KITCHEN MD ER PHYSICIAN 533630 0 25102 0 0 0 11616 0 0 0 570348 0 0 0 BILLI TOLER DO HOSPITALIST 457758 0 11302 0 0 0 11616 0 0 0 480676 0 0 0 STEVEN SHARP MD ER PHYSICIAN 477515 0 102 0 0 0 2221 0 0 0 479838 0 0 0 PATRICK DUNSTER MD ER PHYSICIAN 454833 0 15102 0 0 0 2116 0 0 0 472051 0 0 0 DANIEL TRENT DO ER PHYSICIAN 403690 0 102 0 0 0 11616 0 0 0 415408 0 0 0 ROBERT TAYENGCO MD TRUSTEE/PHYSICIAN 19325 301162 0 12026 54600 0 0 11616 0 0 73925 324804 0 0 RANDALL HAWKINS MD FACP TRUSTEE/PHYSICIAN 0 360332 0 0 0 0 0 11616 0 0 0 371948 0 0 CRAIG GILLILAND CFO 201258 0 7398 0 710 0 8278 0 28290 0 245934 0 0 0 CONNIE M DAVIS COO 152458 0 5175 0 6311 0 5553 0 28290 0 197787 0 0 0 PART I, LINE 3 THE CEO OF PLEASANT VALLEY SERVES UNDER A MANAGEMENT CONTRACT GOVERNED BY CABELL HUNTINGTON HOSPITAL. PVH IS NOT PART OF THE PROCESS IN DETERMINING THE CEO'S COMPENSATION. PVH PAYS CHH A MONTHLY FEE. FORM 990, PART VII, SECTION A, LINE 5 PLEASANT VALLEY HOSPITAL IS UNDER A MANAGEMENT CONTRACT WITH CABELL HUNTINGTON HOSPITAL. FOR THE CALENDAR YEAR ENDED, 12/31/2021, CABELL-HUNTINGTON HOSPITAL PAID FRED (JEFF) NOBLIN $298,673 IN COMPENSATION AND $35,007 IN NONTAXABLE BENEFITS FOR THE POSITION OF CEO OF PLEASANT VALLEY HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 3 PLEASANT VALLEY HOSPITAL HAS A MANAGEMENT CONTRACT WITH CABELL-HUNTINGTON HOSPITAL TO PROVIDE A CEO. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE HOSPITAL'S INDEPENDENT ACCOUNTANTS. THE VP OF FINANCE REVIEWS THE 990 AND THEN EMAILS TO THE FINANCE COMMITTEE TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER FILLS OUT A QUESTIONNAIRE AT THE END OF THE FISCAL YEAR. THE QUESTIONNAIRE HAS QUESTIONS ON IT THAT DETERMINE INDEPENDENCE STATUS AND OTHER RELATIONSHIPS BETWEEN BOARD MEMBERS AND BETWEEN THE BOARD MEMBER AND THE HOSPITAL. THIS HELPS IN DETERMINING POSSIBLE CONFLICTS THAT MAY ARISE. IN ADDITION, THE BOARD MEMBERS MUST SIGN A CONFLICT OF INTEREST POLICY THAT REQUIRES THEM WITH DUE DILIGENCE TO STATE THAT THEY HAVE A CONFLICT OF INTEREST WHEN THAT CONFLICT ARISES. THE BOARD MEMBER MUST LEAVE THE BOARD MEETING DURING DISCUSSIONS AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 PLEASANT VALLEY HOSPITAL HAS A PAY GRADE FOR EACH JOB CODE. THE PAY GRADE IS A RANGE OF WAGES THAT CAN BE PAID TO AN INDIVIDUAL FOR THAT JOB TITLE. WHEN AN OFFICER, OTHER THAN THE CEO, IS OFFERED THE POSITION. THE DIRECTOR OF HUMAN RESOURCES AND THE CEO NEGOTIATES A SALARY WITH THE CANDIDATE WITHIN THE PAY GRADE. THE PAY GRADE WAS ESTABLISHED USING INDEPENDENT DATA. PLEASANT VALLEY HOSPITAL BOARD OF TRUSTEES REVIEWS AND APPROVES THE CONTRACT FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FOR INSPECTION AT THE HOSPITAL OR BY MAILING A COPY UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,552,476. MANAGEMENT AND GENERAL EXPENSES 1,707,294. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,259,770. NURSING SERVICES: PROGRAM SERVICE EXPENSES 3,023,933. MANAGEMENT AND GENERAL EXPENSES 787,908. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,811,841. LAB SERVICES: PROGRAM SERVICE EXPENSES 276,765. MANAGEMENT AND GENERAL EXPENSES 72,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,878. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 708,472. MANAGEMENT AND GENERAL EXPENSES 184,598. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 893,070. DOCTOR SERVICES: PROGRAM SERVICE EXPENSES 1,335,230. MANAGEMENT AND GENERAL EXPENSES 347,904. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,683,134. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 508,495. MANAGEMENT AND GENERAL EXPENSES 132,492. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 640,987. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 247,729. MANAGEMENT AND GENERAL EXPENSES 64,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,276. ADMINISTRATION SERVICES: PROGRAM SERVICE EXPENSES 412,245. MANAGEMENT AND GENERAL EXPENSES 107,413. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 519,658. PLEASANT VALLEY HOSPITAL FOUNDATION INC 2420 VALLEY DR PT PLEASANT WV 25550 200120079 FUNDRAISING WV 501(C)(3) LINE 11 N/A 0 PLEASANT VALLEY HOSPITAL HEALTH FOUNDATION INC 2420 VALLEY DR PT PLEASANT WV 25550 550649849 SCHOLARSHIPS/HEALTHCARE WV 501(C)(3) LINE 12C, III-FI N/A 0 PLEASANT VALLEY MEDICAL GROUP INC 2520 VALLEY DR PT PLEASANT WV 25550 471358788 HEALTHCARE WV 501(C)(3) LINE 11 N/A 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0